JAMES E. BOURDEAU MD – NPI #1710097803
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

JAMES BOURDEAU is a physician located in TULSA, OK. NPPES has assigned the NPI number 1710097803 to JAMES BOURDEAU on August 30, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 13 years ago on Feb 14, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAMES BOURDEAU below.

NPI Profile for
JAMES E. BOURDEAU

NPI Number
1710097803
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAMES E. BOURDEAU
Credentials
MD
Primary location
6465 S YALE AVE
SUITE 507
TULSA, OK 74136-7823
Phone: (918) 481-2760 Fax: (918) 481-2775
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for JAMES BOURDEAU

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSTATE MEDICAL LICENSEOK17511
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)
OK 17511

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.